Fevacold Syrup: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Severe headache with blurred vision or confusion
- Chest pain, shortness of breath, or irregular heartbeat
- Swelling of the face, lips, tongue, or throat
- Yellowing of the skin or eyes (jaundice)
- Dark urine or severe abdominal pain
- Seizures or loss of consciousness
- Unusual bleeding or bruising
If experiencing severe symptoms, call emergency services immediately.
What is fevacold syrup used for?
This medicine is a combination syrup containing paracetamol and phenylpropanolamine, used for temporary relief of cold and flu symptoms such as nasal congestion, fever, and body ache. It works by reducing fever and pain (paracetamol) and shrinking nasal blood vessels (phenylpropanolamine). It should not be used for more than 5 days without medical advice.
- Generic Name: Paracetamol (125mg/5ml) + Phenylpropanolamine (12.5mg/5ml)
- Manufacturer: Arvincare Pharma
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 fevacold syrup के बारे में (Hindi Summary)
उपयोग: यह दवा पैरासिटामोल और फेनिलप्रोपेनॉलामाइन का संयोजन है, जिसका उपयोग सर्दी-जुकाम और फ्लू के लक्षणों जैसे नाक बंद होना, बुखार, सिरदर्द और शरीर दर्द से राहत के लिए किया जाता है। यह दवा बुखार और दर्द को कम करने में मदद करती है और नाक के बंद होने को खोलती है। इसका उपयोग केवल अल्पकालिक राहत के लिए किया जाना चाहिए और बिना डॉक्टर की सलाह के 5 दिनों से अधिक नहीं लेना चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, पेट में असुविधा, मुँह सूखना, सिरदर्द, घबराहट और नींद न आना शामिल हो सकते हैं। फेनिलप्रोपेनॉलामाइन के कारण हृदय गति बढ़ सकती है और रक्तचाप बढ़ सकता है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन एलर्जी, यकृत क्षति या उच्च रक्तचाप संकट हो सकता है। यदि आपको सीने में दर्द, सांस लेने में कठिनाई, या चेहरे, होंठ या गले में सूजन हो, तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा की अनुशंसित खुराक से अधिक न लें। पैरासिटामोल या फेनिलप्रोपेनॉलामाइन युक्त अन्य दवाओं के साथ इसका सेवन न करें। बिना डॉक्टर की सलाह के 5 दिनों से अधिक इसका उपयोग न करें। शराब का सेवन न करें क्योंकि इससे यकृत को नुकसान का खतरा बढ़ सकता है। यदि आपको उच्च रक्तचाप, हृदय रोग, मधुमेह, थायरॉइड की समस्या है या आप अवसादरोधी दवाएं ले रहे हैं, तो उपयोग से पहले डॉक्टर से परामर्श करें। बच्चों की पहुंच से दूर रखें।
💊 fevacold syrup Uses & Benefits
[{"condition":"Common cold","description":"Provides temporary relief of nasal congestion, headache, body ache, and fever associated with the common cold.","evidence":"Well-established for symptomatic relief"},{"condition":"Influenza (flu)","description":"Helps reduce fever and alleviate muscle aches and nasal stuffiness during flu episodes.","evidence":"Well-established for symptomatic relief"},{"condition":"Allergic rhinitis","description":"May relieve nasal congestion associated with allergic rhinitis due to the decongestant action of phenylpropanolamine.","evidence":"Limited, as antihistamines are preferred"}]
Off-label uses: []
Primary treatment for: Common cold
Also treats: Influenza, Allergic rhinitis
📋 Drug Information
| Generic Name(s) | Paracetamol (125mg/5ml) + Phenylpropanolamine (12.5mg/5ml) |
| Brand Name | fevacold syrup |
| Manufacturer | Arvincare Pharma |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a cool, dry place, away from direct sunlight. Do not refrigerate. Keep the bottle tightly closed. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two active ingredients with distinct mechanisms. Paracetamol acts primarily in the central nervous system to reduce fever and pain by inhibiting prostaglandin synthesis, though its exact mechanism is not fully understood. Phenylpropanolamine is a sympathomimetic amine that stimulates alpha-adrenergic receptors, causing vasoconstriction in the nasal mucosa, which reduces swelling and congestion. It also has some beta-adrenergic activity that can increase heart rate and blood pressure.
Mechanism Steps
💡 How to Take fevacold syrup
Strength: Each 5 ml of syrup contains paracetamol 125 mg and phenylpropanolamine 12.5 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 10-15 ml (2-3 teaspoons) every 4-6 hours as needed for symptoms, not to exceed 60 ml in 24 hours. However, the dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the recommended dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children. |
| Elderly Dosage | Elderly patients may be more sensitive to the cardiovascular effects of phenylpropanolamine. Use with caution and consider lower doses. Consult a doctor for individualized dosing. |
| Renal Impairment | Use with caution in patients with renal impairment. Dose adjustment may be necessary. Consult a doctor. |
| Hepatic Impairment | Use with caution in patients with hepatic impairment. Paracetamol dose should be reduced or avoided in severe liver disease. Consult a doctor. |
| Maximum Daily Dose | For adults, the maximum daily dose is 60 ml of this syrup, providing 1500 mg paracetamol and 150 mg phenylpropanolamine. Do not exceed this dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of fevacold syrup
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| MAOIs | Major | |
| Other sympathomimetics | Major | |
| Warfarin | Major | |
| Beta-blockers | Moderate | |
| Tricyclic antidepressants | Moderate | |
| Caffeine | Moderate | |
| Antacids | Minor | |
| Cholestyramine | Minor |
🚨 Major Interactions
- Monoamine oxidase inhibitors (MAOIs)
- Other sympathomimetic amines
- Warfarin
⚡ Moderate Interactions
- Beta-blockers
- Tricyclic antidepressants
- Caffeine
🍷 Alcohol Interaction
Avoid alcohol while taking this medicine. Alcohol increases the risk of paracetamol-induced liver damage and may intensify the cardiovascular effects of phenylpropanolamine, such as increased heart rate and blood pressure.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to paracetamol, phenylpropanolamine, or any component of the formulation","Severe hypertension or uncontrolled high blood pressure","Severe coronary artery disease or recent myocardial infarction","Hyperthyroidism","Closed-angle glaucoma","Urinary retention or prostatic hypertrophy","Use within 14 days of monoamine oxidase inhibitors","Severe liver or kidney impairment"]
⚠️ Warnings & Precautions
["Do not exceed the recommended dose; taking more than the recommended dose of paracetamol can cause serious liver damage.","Avoid alcohol while taking this medicine.","Use with caution in patients with cardiovascular disease, hypertension, diabetes, or thyroid disorders.","May cause drowsiness or dizziness; avoid driving or operating machinery until you know how this medicine affects you.","Do not use for more than 5 days without consulting a doctor.","Keep out of reach of children.","If symptoms persist or worsen, consult a doctor.","Do not use other products containing paracetamol or phenylpropanolamine concurrently."]
🤱 Lactation Safety
Paracetamol is excreted in breast milk in small amounts and is generally considered safe during breastfeeding. Phenylpropanolamine may also pass into breast milk and could cause stimulation or other effects in the nursing infant. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose of this medicine can cause severe liver damage due to paracetamol and hypertensive crisis due to phenylpropanolamine. Seek immediate medical attention. Treatment includes activated charcoal if within 1-2 hours of ingestion, acetylcysteine for paracetamol toxicity, and supportive care for cardiovascular effects. Monitor liver function, blood pressure, and heart rate.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose to catch up.
Additional Safety Advice
Do not exceed the recommended dose of this medicine. Avoid using other products containing paracetamol or phenylpropanolamine while taking this medicine to prevent overdose. Do not use this medicine for more than 5 days without consulting a doctor. Avoid alcohol consumption as it may increase the risk of liver damage. If you have high blood pressure, heart disease, diabetes, thyroid problems, or are taking antidepressants, consult your doctor before use. Keep out of reach of children. Store in a cool, dry place, away from direct sunlight. Do not use if the seal is broken or the syrup is discolored.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the cardiovascular effects of phenylpropanolamine, such as increased blood pressure and heart rate. They may also be more prone to side effects like dizziness and confusion. Use with caution and consult a doctor for appropriate dosing.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before using this medicine. Phenylpropanolamine is not recommended during pregnancy, especially in the first trimester, due to potential risks to the fetus. Paracetamol is generally considered safe when used at recommended doses for short periods.
🏥 Post-Surgery Considerations
Consult your doctor before using this medicine after surgery. Phenylpropanolamine can increase blood pressure and heart rate, which may be undesirable during the postoperative period. Paracetamol may be used for pain relief if approved by your surgeon.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine before any dental procedure. Phenylpropanolamine can interact with local anesthetics containing epinephrine, potentially causing cardiovascular effects. Your dentist may recommend adjusting your medication or using an alternative anesthetic.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause dizziness or drowsiness in some individuals. Avoid strenuous exercise or activities requiring alertness until you know how this medicine affects you. If you feel dizzy or lightheaded, stop exercising and rest.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness, drowsiness, or nervousness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It is advisable to rest at home while you recover from the cold to prevent spreading the infection to others.
🛑 When to Stop This Medicine
Stop taking this medicine if your symptoms do not improve within 5 days or if they worsen. Also stop if you experience any serious side effects such as severe headache, chest pain, or allergic reactions. Consult your doctor before stopping if you have been taking it regularly for a medical condition.
📅 Long-Term Use Effects
Long-term use of this medicine is not recommended. Prolonged use of paracetamol can increase the risk of liver damage, especially with high doses or alcohol consumption. Phenylpropanolamine can cause cardiovascular effects such as increased blood pressure and heart rate. Regular monitoring of liver function and blood pressure may be required if used for extended periods under medical supervision.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Helps relieve nasal congestion without systemic side effects.
Evidence: Well-establishedCan temporarily relieve nasal stuffiness.
Evidence: LimitedSupports the body's natural recovery from viral infections.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are scheduled to receive a vaccine, inform your healthcare provider that you are taking this medicine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling with this medicine, carry it in its original packaging along with a copy of the prescription. Store it in a cool, dry place away from direct sunlight. If traveling across time zones, continue with your regular dosing schedule as needed for symptoms, but do not exceed the maximum daily dose. Check the customs regulations of your destination country regarding import of medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine usually starts relieving symptoms within 30-60 minutes after taking a dose.
A: It is generally recommended to take this medicine with food or milk to reduce the risk of stomach upset.
A: No, this medicine should not be used for more than 5 days without consulting a doctor due to the risk of side effects.
A: Consult your doctor before using this medicine if you are pregnant or planning to become pregnant. Phenylpropanolamine is not recommended during pregnancy.
A: If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.
🤔 Common Patient Concerns
🔄 Substitutes for fevacold syrup
View AllAlternative brands with exact same active ingredient:
-
coldant syrupUniroyal Biotech ₹18.75 47.4% CHEAPER
-
synfast syrupSansill Formulations ₹20.86 41.5% CHEAPER
-
winnow syrupTyrant Pharma Pvt Ltd ₹25.31 29% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure the common cold.
Fact: This medicine only relieves symptoms; it does not cure the underlying viral infection. - Myth: It is safe to take this medicine for weeks.
Fact: Prolonged use can lead to serious side effects; it should not be used for more than 5 days without medical supervision. - Myth: More medicine means faster relief.
Fact: Taking more than the recommended dose can cause severe liver damage and hypertensive crisis.
🔄 Alternative Options
Generic Alternatives
- Paracetamol + Phenylpropanolamine syrup